| NPI | 1992968689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: KY 47836) |
| Additional Taxonomies | 208600000X Surgery (Licence: KY 47836) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: KY 47836) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-10-11 |